Sexual violence associated with international travel: a review of 443 cases.

Background: Sexual violence (SV) while travelling internationally is underreported and pre-travel advice is often focussed on broader tourist safety concerns. International travellers who experience sexual violence face particular challenges. The aim of this paper was to analyse the attendances of people who disclosed having been subjected to SV during international travel to the Sexual Assault Treatment Unit (SATU) network in the Republic of Ireland.

Methods: Analysis of all people who attended the national SATU network who disclosed an incident of SV experienced during international travel, and comparison of these cases with domestic case attendances.

Results: During the 7-year period studied, there were 6,447 attendances to the national SATU network, with 443 incidents reported as occurring outside Ireland; in 66 separate countries. The mean age of international attendees was 26.61 years, with females representing 90.3% of cases. Where an incident occurred internationally, the patient was less likely to disclose drug ingestion in the 24 h preceding the incident (p < 0.001) and significantly less likely to be assaulted in the assailant's home (p = 0.009) when compared with domestic cases. Those who were assaulted internationally were significantly more likely to be assaulted by a stranger or recent acquaintance, i.e. ( p < 0.001).They were also more likely be assaulted in a location recorded as 'other indoors' (e.g. hotel, hostel etc) (p < 0.001). There was no significant difference in alcohol consumption (p = 0.115) or frequency of assaults occurring outdoors (p = 0.155).

Conclusion: Our study has shown that 7% of attendances to the SATU network followed incidents of SV that occurred during international travel. The majority of these incidents were disclosed as being perpetrated by a stranger or recent acquaintance, in an indoor setting with over half having occurred in Europe. Individuals who experience SV while travelling abroad should be encouraged to seek immediate medical attention and appropriate follow-up care upon returning home.